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NFL 100 All-Time Team running backs revealed – NFL.com

Posted: November 25, 2019 at 1:46 am


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The NFL is revealing the 100 greatest players and 10 greatest coaches in NFL history. Every Friday night at 8 ET through Dec. 27, NFL Network will announce the latest members of the All-Time Team during a one-hour special hosted by Rich Eisen and featuring Bill Belichick and Cris Collinsworth.

Below are the 12 running backs and two of the 10 coaches on the All-Time Team, as revealed Friday on NFL Network, along with comments from Belichick, Collinsworth and RBs from the All-Time Team:

1971 Pro Football Hall of Fame Inductee... 1964 NFL Champion... Three-time NFL MVP... Eight-time NFL rushing champion... Eight-time All-NFL... Nine-time Pro Bowler... Career marks: 12,312 rush yards, 262 receptions, 15,459 combined scrimmage yards, 756 points scored... 1957 Rookie of the Year... Selected No. 6 overall by the Cleveland Browns in the 1957 NFL Draft... 1956 All-American at Syracuse University... Born February 17, 1936, in St. Simons, GA.

Bill Belichick: Jim, I've admired you for my entire life. When I was head coach of the Cleveland Browns, it was such a blessing to get to know you. ... You were certainly the greatest player. You could've played anything and did. There's nobody other than you that should be the first person in this group. ... I'd put him in there right now on third-and-1.

Cris Collinsworth: If this show was called the NFL 1, we might have the same guest. ... It looks like a dad playing in the backyard with his kids and the kids are wrapped around his legs and you're sort of dragging them and you don't want to hurt the poor little kids. That's what it looked like, like a different sort of being was playing football with some kids out there on the field. ... It didn't matter who he was playing against, he would've been the best in the history of the game.

1991 Pro Football Hall of Fame Inductee... Three-time consecutive Player of the Year, NFL rushing champion, All-Pro and Pro Bowl selection... Career-high 1,934 rush yards, including four games with 200 rush yards... Career stats: 9,407 rush yards, 74 rush TD, 121 receptions, 806 receiving yards... Selected No. 1 overall by the Houston Oilers in the 1978 NFL Draft... 1977 Heisman Trophy winner... Two-time All-American at the University of Texas-Austin... Born March 29, 1955, in Tyler, TX.

Belichick: You had to get him before he got going, because once he got going, he was like a truck ... and fast. This guy was one of the toughest football players who ever played.

1963 Pro Football Hall of Fame Inductee... 1935 NFL Champion... Three-time NFL scoring champion... Named All-NFL in six of seven seasons... Scored 354 points on 42 TDs, 72 PATs, 10 FGs... NFL's last dropkicking specialist... Player-coach final two seasons... Born October 11, 1906 in Fowler, CO.

Belichick: Dutch was one of the great two-way players and one of the most versatile players to ever play the game. ... He was a very elusive runner and could also run with power. A hard guy to tackle.

1999 Pro Football Hall of Fame Inductee... Five-time All-Pro... Six-time Pro Bowlers... Led league in rushing three times with Rams, once with Colts... Rushed for NFL-record 2,105 yards in 1984... Gained 1,800+ rush yards in three of his first four season... Retired as the 2nd all-time leading rusher with 13,259 yards on 2,996 carries... Selected No. 2 overall by the Los Angeles Rams in the 1983 NFL Draft... Born September 2, 1960, in Sealy, TX.

Emmitt Smith: I could never run as pretty as Eric, I could never fall as gracefully as Eric but I loved watching him run.

1975 Pro Football Hall of Fame Inductee... Two-time NFL Champion... Seven-time Pro Bowler... five-time All-Pro... Named NFL Player of the Year and Comeback Player of Year in 1964... Amassed 12,451 scrimmage yards, 5,174 rush yards, 363 receptions for 6,039 yards... Scored 113 TDs, 678 points... Scored touchdowns in record 18 straight games from 1963-1965... 1956 Rookie of the Year... Selected No. 9 overall by the Baltimore Colts in the 1956 NFL Draft... Born November 25, 1933, in Reading, PA.

Belichick: The versatility of this player is just remarkable. He's the only player in the NFL in the 40-40 club: 48 touchdowns receiving, 63 touchdowns rushing. ... He could've played in any era at either spot (RB or WR). ... Nobody catches this guy. I wouldn't call him a power runner but he runs with good power. ... I think he's a little bit underrated.

1968 Pro Football Hall of Fame Inductee... Four-time AAFC Champion... NFL Champion... Two-time All-Pro... 1951 Pro Bowl selection... 1950 All-NFL selection... All-time AAFC rushing champion... 1950 NFL rushing champion... Career record: 828 carries, 4,720 rush yards... Caught 85 passes and scored 234 points in nine seasons... Also played linebacker early in career... Born June 5, 1920, in Leesburg, GA.

Collinsworth: The tape is so stunning. It looked like somebody messed up and put a guard in the backfield. ... There were people finding a reason not to go tackle this big guy.

Belichick: Motley was a very unselfish player. He started as atwo-way player. Defensively, he played linebacker. Offensively, he was a blocker as much as he was a runner.

1993 Pro Football Hall of Fame Inductee... Super Bowl XX Champion... 1977 NFL MVP... Nine-time Pro Bowler... Seven-time All-Pro... Retired as all-time leader in rushing, combined scrimmage yards (including kick/punt returns)... Career stats: 16,726 rush yards, 110 rush TDs; 492 receptions for 4,538 yards; 21,803 combined scrimmage yards; 125 touchdowns... Held single-game rushing record of 275 yards... Had 77 games over 100 rush yards... Selected No. 4 overall by the Chicago Bears in the 1975 NFL Draft... Born July 25, 1954, in Columbia, Mississippi.

Jim Brown: The first time I saw him on television, I almost jumped out of my seat because I saw the greatness in his play. ... I always said no one had a bigger heart than Walter.

Smith: Work ethic was paramount for him. He was definitely driven. he wanted to work out everybody and anybody. ... His heart was as big as the Grand Canyon.

Barry Sanders: For a lot of my great games against the Bears, you can blame Walter Payton because it was such great motivation for me.

2004 Pro Football Hall of Fame Inductee... 1997 NFL MVP... 10-time Pro Bowler... Six-time All-Pro... Career rushing record: 15,269 yards, 99 rush TDs... First player to rush for 1,000 yards his first 10 seasons... Led NFL in rushing four times... Gained 2,053 yards, including record 14 straight 100-yard games in 1997... First or second-team All-NFL each of his 10 seasons... Selected No. 3 overall by the Detroit Lions in the 1989 NFL Draft... Born July 16, 1968, in Wichita, KS.

Belichick: When Barry Sanders gets the ball, everyone's at the point of the attack ... because he could hit every spot on the field. I don't care where he started. That didn't mean anything either. When he got there, you better be ready to tackle.

Collinsworth: Out of my entire experience, the one guy who led the league in "Oooooo", that sound, right? It just comes out of you. I don't know what it is. When you're in an NFL room, and somebody does something that's just off the charts, you start hearing guys go, "Oooooo." It just comes. Barry Sanders led the league in that sound.

Smith: If this guy had not retired, he probably would've been the first 20,000-yard running back in the National Football League.

1977 Pro Football Hall of Fame Inductee... Four-time Pro Bowler... Three-time Pro Bowl Player of the Game... Five-time All-NFL... Named All-Time NFL Halfback in 1969... Career totals: 9,435 combined scrimmage yards, 4,956 rush yards, 336 points... Led NFL rushers in 1966 and 1969... NFL lifetime leader in kickoff return yard average (30.6)... Scored rookie record 22 TDs, 132 points in 1965... In 1965, was selected No. 4 overall by the Chicago Bears in the NFL Draft and No. 5 overall by the Kansas City Chiefs in the AFL Draft... Born May 30, 1943, in Wichita, KS.

Collinsworth: Out of all the running backs on the pretty list, it may well be Gale Sayers that struck you first.

Sanders: To me, he seems like one of those guys that we often say is before his time, the kind of athlete he was, the cuts he made. ... It's almost like ballet because it's so graceful the way it catches your eye.

1985 Pro Football Hall of Fame Inductee... Six-time Pro Bowler... 1973 Pro Bowl Player of the Game... Five-time unanimous All-Pro from 1972-1976, topping 1,000 rush yards... Won four NFL rushing titles... Career record: 11,236 rush yards, 203 receptions, 990 kickoff return yards, 14,368 combined scrimmage yards... Career highlighted by 2,003 rush yards in 1973... Selected No. 1 overall in the 1969 AFL-NFL Common Draft... 1968 Heisman Trophy winner... Born July 9, 1947, in San Francisco, CA.

Collinsworth: He was America's hero. He was on all the commercials, he was the guy that was front-and-center for the National Football League, but this was a pretty stunning fall from grace. But I'm going to talk just about football for a minute. His 2,000 yards in a 14-game season is off the charts, and in my mind there was really only one player that you could compare to. Someone that size with that amount of wiggle, with those moves and that speed, and it's Jim Brown.

2010 Pro Football Hall of Fame Inductee... Three-time Super Bowl Champion (XXVII, XXVIII, XXX)... 1993 NFL and Super Bowl XXVIII MVP... Won NFL rushing crowns in 1991, 1992, 1993, 1995... Led NFL in rush TDs 3 times... Named first-team All-Pro 1992-1995... 11 straight 1,000-yard rushing seasons... Became NFL's all-time rushing leader in 2002... Career totals: 18,355 rush yards and 164 rush TDs; also had 515 receptions... Selected No. 17 overall by the Dallas Cowboys in the 1990 NFL Draft... Born May 15, 1969, in Pensacola, FL.

Belichick: I'm just absolutely flabbergasted at the way you consistently can run the ball for positive yards. I've never seen so many people take so many two-yard gains and turn them into eight-yard plays. ... I'm completely enamored by the way you can set a block and run the football on such a consistent basis.

Brown: This guy's a warrior, man. That attitude, that mental attitude that you must have to be really great, he was the epitome of that. ... He's always got a move, some kind of a move to continue the play.

1965 Pro Football Hall of Fame Inductee... Two-time NFL Champion... All-NFL six straight seasons... Won NFL rushing title four times... Surpassed 1,000 yards in rushing twice... Scored only TD in 7-0 NFL Championship game in 1948... Career mark: 5,860 rush yards, 464 points scored... 1944 punt return, 1945 kickoff return champion... Rushed for then-record 196 yards in 1949 finale... Selected No. 5 overall by the Philadelphia Eagles in the 1944 NFL Draft... Born December 28, 1920, in La Ceiba, Honduras.

Belichick: Steve Van Buren was another versatile player. ... This guy was hard to tackle. He ran with a lot of power. These outside plays, he'd start them outside but once there was some daylight he could turn up. ... Good straight-ahead inside runner. Ran with good pad level. He was a mudder. ... As soon as there's room to turn up, he'd turn up. I don't think you'd want to play against Steve Van Buren.

Six-time Super Bowl Champion... Won more Super Bowls than anyone in NFL history, also appearing in more Super Bowls (9) than any head coach... Three-time NFL Coach of the Year (2003, 2007, 2010)... Overall record of 292-134-0, including playoffs (entering 2019 season)... 31 wins in postseason, most in NFL history... Ranks 3rd all-time in coaching wins... Has posted winning seasons in every year since 2001... Born April 16, 1952, in Nashville, TN.

Belichick: It's an incredible honor. It's incredibly flattering. ... We know this is the ultimate team sport, and I've had the great fortune to coach so many great players and have so many great coaches and scouts, it's really an honor to all the people that I've worked with and been able to coach. ... I really believe there is a way to win and you just have to figure it out. ... Fundamentally, it really comes back to, you can go back to a few 100 years B.C., Sun Tzu, The Art of War. Attack weaknesses, utilize strengths and figure out what the strengths are on your team. There are some things you have to protect, find the weaknesses of your opponent and attack. You can't win a war by digging a hole. You have to attack.

1967 Pro Football Hall of Fame Inductee... Organized Cleveland Browns in AAFC in 1946... Built Cleveland dynasty with 222-112-9 record (including playoffs), four AAFC titles, three NFL crowns, only one losing season in 17 years... Exceptionally successful coach at all levels of football. A revolutionary innovator with many coaching "firsts" to his credit... Born September 7, 1908 in Norwalk, OH.

Belichick: He's the greatest coach in the history of professional football, clear and simple. Everything that we do today, everything that I do today, Paul Brown did. It all started with Paul Brown. He took football from being a sport to being a profession.

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NFL 100 All-Time Team running backs revealed - NFL.com

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November 25th, 2019 at 1:46 am

Posted in Mental Attitude

Should You Tell Your Boss About Your Mental Health Struggles? – The Swaddle

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Youre so young, why do you need therapy? was Tulika Bhattacharjees boss reaction when she finally decided to open up about suffering from anxiety. Back then, she was just 24, straight out of college, and had jumped into the workplace a space with people she didnt know but with whom she had to spend a major part of her day.

Bhattacharjees condition is fairly common. As of today, at least, 38 million Indians suffer from diagnosed anxiety, which is characterized by feelings of worry or fear strong enough to interfere with ones daily activities. Yet, talking about it or accepting someone elses condition positively is something Indian culture is still coming to terms with.

Im an introvert, so for a long time, I didnt tell anyone that I was stressed and feeling overburdened with work and that was adding to my anxiety. It took me a lot of courage to get to that point when I felt the need to tell someone about it, Bhattacharjee said. I remember it was when my anxiety started manifesting physically I had headaches, severe migraines, and gastrointestinal problems that I thought to myself, how do I report to work with all this?'

Fearing the same dismissive reaction, many people like Bhattacharjee dont open up about their mental health problems at their workplace.

Take S.J., a 28-year-old media professional, for instance: My anti-depressants can cause insomnia and other side effects that might hamper or impede my work. I had to let someone know about it, S.J. said. So, he decided to tell his immediate senior about his depression first. Although she was very understanding, she asked me not to tell anyone else or our boss about it because it couldve impacted their impression of me or my work. She said they could even use it against me by citing it as a reason for my poor performance and reducing my chances of promotions. So, till date, my boss doesnt know I suffer from depression.

The Mental Healthcare Act, 2017, states that no employees shall be discriminated against for suffering from a mental health condition. It has even made it mandatory for all insurance companies to offer provisions for the treatment of mental health-related illnesses.

But in the same year that Indias mental health law was enacted, a study published in the Indian Journal of Medical Research exploring workplace attitudes toward mental health across 35 countries, including India. It stated that, about two-thirds of employees who had suffered from depression either faced discrimination at work or while applying for new jobs.

Another study conducted by the World Health Organization found that for every dollar invested in an employees mental health, theres a four times return for employers.

But, according to Optum Health International, a health services company, only 4,500 multinational companies and 10% of the 1.7 million companies registered in India run a formal mental health support program, Amber Alam, its vice-president and head of business in the Asia-Pacific region, told LiveMint.

Related on The Swaddle:

New Mental Health Insurance May Come With Old Loopholes

Such programs are sponsored by an employer to help employees and their families deal with emotional, behavioral and well-being needs that impact work and life.

But Sakshi Mishra, an HR professional at a Mumbai-based media house, says the truth about employer-sponsored mental health programs in India is that although many companies offer them, in many cases, either these programs are implemented poorly or dont end up reaching the employees who need them. Employees themselves hesitate to open up about their mental health because of the stigma associated with it. Or even if they do, not all managers are aware of or know how to respond to an employees mental health problem to be able to refer them to an employers program, Mishra said. Sometimes, the HR [professionals] themselves are unaware of the program or dont consider it as serious as other tasks they are responsible for.

In companies like hers, where the supportive program is active, not only has HR initiated a process to cover treatments related to psychiatric and psychosomatic illnesses but also implemented a 24/7 confidential helpline and anonymous surveys to gauge the mental health status of staff. Mishras company also has a list of experts to whom employees can reach out for consultations or treatment. In addition, the company also has regular mental health sensitization programs to help all its staff understand various illnesses and conditions and guide staff on how they can be of help to a struggling coworker.

Since implementing the program, weve seen a lot more employees talk about mental health, and they have told us that understanding colleagues and managers have helped them manage work and life better. And thats our real success. No numbers or profits can match an employees happiness, Mishra said.

But many companies dont adopt such programs for various reasons. They may instead offer other activities such as team-building exercises and games to help employees de-stress, but nothing targeted at mental health per se. This may be because, While it may seem well-intentioned to monitor the mental health of your employees with their best interests in mind, it raises multiple legal and ethical questions. It is after all the feelings and emotions of an individual that the employer would be monitoring in the workplace. Such data would be accessible by the employer and possible third-party service providers and can be easily misused, Sourya Banerjee, a lawyer, told The Health Collective.

For instance, should an HR manager, or an individuals direct manager, know about the mental health condition of their employee, it might raise chances of unfair treatment, including reduced prospects of promotion, them becoming a target of gossip or facing rejection or being ostracized in the workplace.

Although these risks associated with disclosing ones mental health condition might be true, there are some benefits of going ahead and talking what an employee is suffering from too, says Mishra.

These include the potential to reach enabling compromises with an employer such as flexible working hours or changes in the nature and scope of ones work. Most importantly, sharing ones mental health state may help explain a behavior pattern that might otherwise be misinterpreted by colleagues, according to Mishra.

Related on The Swaddle:

Its Time for a More Humane Approach to Mental Health Care

Take IKs case for example.

Recently at drinks with coworkers after a meeting, I told my boss that I had an anxiety disorder, and I went to therapy for the same. He was very respectful, said IK, a graphic designer based out of Mumbai. Actually, I even had an appointment rescheduled once after a particularly rough weekend, which would mean Id either have to leave for an hour during my workday or book another next week which would not be ideal. I let my boss know and he was more than happy to let me go to my appointment. He saw I was stressed out and that was very reassuring.

In banking professional MKs case, after opening up about his anxiety, initially his boss was hesitant to give him time off to go to therapy during work hours. But later, he became very considerate about it and said he had seen a difference in productivity when he allowed him to take breaks when he wanted and helped him in whatever way hed asked for.

I wont lie, but the first thought that struck me when MK confessed it was how itll affect work, productivity and how itll ultimately end up affecting us in meeting our targets, said M.K.s boss. But not being understanding and accommodative of someones mental health is as good as being inconsiderate of a person suffering from any physical ailment. Can someone deny anyone a sick leave when they have a fever or dengue? Why cant mental health be taken that seriously?

Assuming that mental health is an issue that is spoken about a lot more nowadays and hence more people know about it, the above should be a common and natural reaction from any boss when it comes to their employees and their well-being. Therefore, consultant psychiatrist Dr. Natasha Kate, with Mumbais Masina Hospital, says she always encourages her patients to talk about their condition with their bosses but the change in attitude regarding mental health has been a slow process.

In so many years of my practice, I have seen more patients talk about it than before but not as many bosses or managers have been understanding or accommodating of their employees disclosure, she says. Theres a lot of stigma associated with it and this is the case when it comes to mental health even outside of the workplace. But in offices especially, the first thing bosses think is how a mental health condition will affect their employees performance rather than thinking that being supportive of it will actually end up in better results.

Itll be long before all of Indias workplaces adopt measures such as sensitizing and training its staff regarding issues about mental health that will end the stigma associated with it in a manner that it doesnt cross the fine line between offering support and ensuring that knowing an employees mental health condition will not be used against them.

Meanwhile, employees who do choose to share their mental health conditions with employers are leading the way for a conversation with an employer that needs to be addressed even if they may not want to. In doing so, not only are they ensuring their own well-being, but also of the companys because a better state of mental health does impact productivity and focus. And also in doing so, they are enabling others to open up about it.

Revealing a mental health condition, for one, might end up relieving you from stress that comes from hiding it, it might also end up improving your relationship with the manager, says Dr. Kate. In addition to making workplace adjustment like flexible hours or allowing work from home, managers might also temporarily re-allocate tasks that an employee is finding stressful or difficult reducing overall stress. They might also guide you to get some mentoring.

This has been true at least in MK and his bosss case.

My boss has been extremely supportive and a large part of my anxiety has been taken care of after I spoke up about it because there was no more lying about absenteeism, or why a certain task was not done on time, says MK. But I ensure that I dont use it as an excuse to get out of a certain task or for not finishing an assignment. If my boss has trusted me enough to give me support and be understanding, there is no way Im going to take advantage of it. In fact, I think his support has pushed me to work harder so I can become a role model of sorts, for others to see that Im not being excluded out of assignments or discriminated in any way, he adds.

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Should You Tell Your Boss About Your Mental Health Struggles? - The Swaddle

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November 25th, 2019 at 1:46 am

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Sarah Hyland Shares Body-Positive Message for ‘Fellow Invisible Illness Warriors’ – Allure

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Sarah Hyland has never been shy about sharing health updates with the world. In 2017, the Modern Family star revealed to fans that she had to undergo a kidney transplant as she was born with kidney dysplasia, a chronic health condition caused when the kidneys fail to develop fully in the womb. However, the actress is now sharing another part of her wellness journey: her fight against insecurity.

"To my fellow #invisibleillness warriors. Its ok to be insecure about your body," Hyland shared in a new Instagram post alongside a paparazzi shot of her leaving the gym. "Just remember to check in with yourself at least once a day and say thank you. Our bodies have endured unfathomable feats that our minds barely have time to comprehend what has actually happened."

Hyland went on to explain, "With inflammation, excess water gain, and medications, my skin has a hard time bouncing back. I saw this picture and HATED it but quickly readjusted my attitude and decided to celebrate it. Love yourself and be patient. We are all stronger than we think we are."

Just a few months ago, Hyland shared another snap to the social media platform in an effort to openly discuss her body issues. In the older post, Hyland wrote in part, "And a final thank you to my ever-changing self-confidence for making the decision to not wear Spanx and let my KUPA (kidney upper pussy area) shine like the badass bitch she is."

Indeed, the term KUPA has become a favorite one of both Hyland and her fans. In the comments of her most recent post, one follower wrote, "Thank you for reminding me this. Also thank you for making up the term KUPA (Kidney Upper Pussy Area) I will now always refer to my lower right abdomen as that." Another added, "Yes! Real bodies that battle everyday are beautiful. Love that you posted this."

Long story short, keep the body positivity posts coming, Hyland, because every body is here for it.

More on Sarah Hyland:

Now check out other celebrities who are open about their mental health:

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Sarah Hyland Shares Body-Positive Message for 'Fellow Invisible Illness Warriors' - Allure

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November 25th, 2019 at 1:46 am

Posted in Mental Attitude

The Bedpan: ‘The problem with conceding to Simon Stevens’ – Health Service Journal

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Why it matters: The latest deep dive by Britains leading political historian examines Theresa Mays time as prime minister and details how her attitude and approach to the NHS changed during her time in Number 10.

Theresa May didnt understand what had gone wrong [on the NHS] or how to put it right when she entered Number 10, according to Sir Anthony Seldon.

She was instinctively anti-reform because she knew previous attempts had backfired, while at the same time hyper-sensitive to the possibility of a winter crisis.

Sir Anthony also claims she did want to see increased funding for the NHS, something that will surprise those senior NHS figures who met with her at this time.

Indeed, her first budget in 2017 only produced a 2.8bn increase for the NHS, despite the PMs own policy unit and NHS England chief executive Simon Stevens arguing for 4bn.

Sir Anthony quotes Mrs May as saying: The problem with conceding to what Simon Stevens is always demanding is that we end up putting the money into short-term solutions like reducing waiting lists rather than systematic improvement, or into preventative medicine or mental health.

Then health secretary Jeremy Hunt apparently agreed with the PM.

The settlement ended up riling the NHS rather than pleasing them recalls special adviser Alex Dawson.

However, towards the end of the year, Mrs Mays attitudes had begun to change.

The PM felt the Conservatives had got into a ridiculous position on the NHS as a result of being banned from discussing it by campaign guru Lynton Crosby during the 2015 and 2017 elections.

NHS performance was continuing to worsen, Mr Stevens was again growing vocal and House of Commons health select committee chair Sarah Wollaston began to call for a Royal Commission, which scared No10 and No11 witless.

On 7 February 2018, Mrs May was shown polling by Mr Dawson which demonstrated that people were prepared to pay extra taxes to fund improvements to the NHS.

Sir Anthony becomes a little too credulous at this point, taking at face value statements like the PM started to think that the NHS leadership needed to be treated in the same way as the police: it needed reform to become much more biddable.

There had been a plan to announce an inquiry into the NHS at the end of 2016, similar to the one conducted into higher education, but this had been overruled by the Treasury, says Sir Anthony.

Now the idea was reheated as a 10-year NHS Plan.

This would apparently enable Number 10 to hold the NHS to account for delivery.

The truth as most HSJ readers will know is that by 2018 the government had little choice but to significantly increase NHS funding or face a total service melt-down and the resulting political backlash. Chancellor Philip Hammond tried to hold out for a three-year settlement, but finally accepted it had to be five.

The NHS plan full of good ideas as it is was still sophisticated window dressing for dragging the NHS out of the traditional public sector spending round to be given a 70th birthday present. A fact instantly recognised by savvy commentators like Spectator editor Fraser Nelson, who was both admiring of the conjuring trick pulled off by Mr Stevens and Mr Hunt and, irritated that the spoilt NHS could get even more cash.

From the start of Mrs Mays premiership, Sir Anthony says mental health was an area in which she was prepared to take risks. He claims Mrs May won an 18-month battle from 2012 with Mr Hunt to get David Camerons government to take mental health more seriously.

Mrs May arranged for Sir Simon Wessely, former president of the Royal College of Psychiatrists, and Poppy Jaman, founder of Mental Health First Aid, to address Cabinet for 45 minutes.

Most ministers were attentive, apart from foreign secretary Boris Johnson who gave the impression that he thought it was all nanny-state stuff and made sotto voce asides throughout.

No surprise then that, according to Sir Anthony, those working on a subsequent project to improve black, Asian and minority ethnic mental health did their best to make it Boris proof.

Sir Simon is glowing in his praise for Mrs Mays interest in and support for the most intractable aspect of mental health, one in which there were the fewest votes: severe mental illness. Nobody since Stephen Dorrell, Conservative health secretary between 1995 and 1997, had taken such a real interest in the most difficult part of the whole spectrum, the former Royal College of Psychiatristspresident tells Sir Anthony.

Perhaps the most illuminating section of the book is the one on the disaster which befell Mrs Mays proposed social care reforms in 2017.

Here was an issue on which according to Number 10 deputy chief of policy Will Tanner Mrs May believed people felt let down by politicians and that it was her duty to act.

Her senior communications adviser Fiona Hill told the PM it was a mistake, but Sir Anthony quotes Mrs May as saying: I know Ill have to use up some of my political capital, but this is the time to do it.

As Ms Hill rowed with Mrs Mays other chief adviser Nick Timothy, the PM with tears in her eyes banged the desk and said: Were going to do this.

When as Ms Hill predicted the negative media coverage of the social care proposals provoked widespread panic among Tory MPs, Mrs May did nothing to calm the storm.

Sir Anthony notes she simply could have said: Nobody would lose their homes during their lifetime and they would be left with at least 100,000. But she didnt and, as Sir Anthony remarks later in the book, as far as Mrs May was concerned social care was dead in the water.

One intriguing side note was that the first draft of the 2017 Conservative manifesto contained a proposal to introduce social insurance. Mrs May vetoed it, saying over my dead body.

The section on the January 2018s botched reshuffle confirms Mrs May had intended to replace Mr Hunt with the solid Greg Clark to calm things down after the junior doctors strike. However, Sir Anthony has also discovered that Mr Hunt had spoken to No10 before the general election about wanting to be moved, and that rumours swirled in the corridors of power that he wanted the job of deputy prime minister.

As that possibility receded, Mr Hunt began to change his mind, without notifying Number 10. He was, recounts May at 10, increasingly keen on becoming the longest-serving health secretary in history something, of course, he achieved in due course.

If there is any political or influential figure you would likeHSJto interview, please emailalastair.mclellan@wilmingtonhealthcare.com.

The past five Bedpans

Will Hutton

Cardiac Arrest and Bodies writer Jed Mercurio

The Grenfell Tower fire

Margaret Thatcher and the birth of the internal market

Doctors for Extinction Rebellion

You can read all 44 Bedpanshere

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The Bedpan: 'The problem with conceding to Simon Stevens' - Health Service Journal

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November 25th, 2019 at 1:46 am

Posted in Mental Attitude

Athletic and quick Tri-County girls’ basketball team returns six from four place team – Journal Gazette and Times-Courier

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KANSAS -- it was a historic season last year as Tri-County finished 29-6 and in fourth place in the Class 1A state girls' basketball tournament. The 29 wins were the most in Tri-County, Oakland-Kansas or Oakland history and it was the first time any of the three had made it to state.

Tri-County is in its sixth year of a co-op with Oakland, Kansas, and Shiloh. Shiloh went to the state tournament five times, including 2010-11 and have had seasons of 29 wins or more on six occasions.

Five players, including four starters, are gone from the Little Okaw Valley Conference Southeast Division regular season and tournament champions as well as LOVC overall tourney champs. However, six returning letter winners are back for coach Joe Morrisey's team.

"We have been focusing on replacing the four starters from last year and developing team chemistry," said Morrisey, who is in his 11th season. "Girls who were complimentary players last year are having to step up and take on different roles. The six returning letter winners are going to play different places."

Among the returners is 5-6 guard Tayler Barry, who was on the JG-TC All-Area team after averaging a team-high 15.8 points per game. She also made a team-leading 65 three-pointers and averaged 2.2 rebounds 2.4 assists and 4.5 steals per game.

Also returning is second team all-LOVC SE player Bella Dudley, a 5-7 sophomore, who averaged eight points per game.

Junior Melia Eskew along with sophomore Caroline Smith and seniors Izzy Carroll and Lillie Cox are the other returning letter winners.

"We are going to be long and quick so that will allow us to play pressure defense," said Morrisey, whose team allowed 36 points per game last season.

Morrisey said the team which will play a junior varsity schedule, is also looking for freshmen/sophomore games as they have a total of 26 in the program.

"We went to five shootouts and worked on different players accepting different roles and developing a defensive mindset," said Morrisey of the summer.

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The reason for different roles is the loss of five players, including JG-TC All-Area player Harley Barry, an honorable mention Associated Press Class 1A player like her sister Tayler. First team all-SE Division players Maiya Eskew and Kiersten Price-Wilson along with second team player Grace Burnside also graduated.

Another Barry, who is sisters to Tayler and Harley is on the team in freshman Thaylee Barry, while other seniors on the team are Cailynne Phillips, Sammi Skinner, Emily Barrow, Gwen Morris, and Madison Barrow as the Lady Titans have seven seniors.

"We are inexperienced, athletic, quick and willing to learn," said Morrisey when asked to describe his team.

As far as leadership goes Morrisey said, "It is still in progress. We have a variety of candidates who are stepping up at this time."

Tri-County was at Tuscola Thursday and will be in the Oakwood Comet Classic starting Saturday.

Tri-County averaged 61.6 points per game but lost 56 percent of the scoring.

"We want to improve every day, have new faces replace the ones that we lost and defend our Oakwood Thanksgiving title, compete at the Charleston Holiday Tournament, win the first Lincoln Prairie Conference Tournament and compete in the postseason."

Morrisey said all 15 varsity players can contribute to the team.

"We are looking forward to another fun and exciting season," said Morrisey, who is assisted by Alyssa Childress. "Hopefully the hard work and a tough mental attitude we can accomplish our goals."

Contact Mike Monahan at (217)-238-6854. Follow him on Twiter: @monahanmike

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Athletic and quick Tri-County girls' basketball team returns six from four place team - Journal Gazette and Times-Courier

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November 25th, 2019 at 1:46 am

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Psychologists say there are 2 types of narcissists: Which one are you? – Inverse

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Not all narcissists are equal.

Narcissists, like sharks, get a bad press. Both are generally seen as menacing, negative forces to be feared and avoided.

But as any biologist will tell you, sharks play a vital role in the marine ecosystem. And it may be that narcissists also have a necessary part to play in human society.

This, of course, goes against the widely accepted perception of personality traits that it is good to be agreeable and outgoing and bad to be narcissistic.

After all, narcissistic people engage in risky behavior, hold an unrealistic superior view of themselves, are overconfident, show little empathy for others, and have little shame or guilt. But if narcissism is so socially toxic, why does it persist and why is it said to be on the rise in modern societies?

The answer is that human nature is complex. And while narcissism is often associated with dark traits like psychopathy and sadism, it also has aspects which are widely considered to be positive, such as extroversion and confidence.

In saying this, I do not mean to defend or excuse the worst examples of narcissistic behavior. Instead, I want to highlight the potentially beneficial elements which could then enable society to harness the positive potential of dark personalities while also curtailing their potential for harm.

There are two main types of narcissism: grandiose and vulnerable. Vulnerable narcissists are likely to be more defensive and view the behavior of others as hostile, whereas grandiose narcissists usually have an over inflated sense of importance and a preoccupation with status and power.

The results from our studies (on the personality trait of sub-clinical narcissism, not narcissistic personality disorder) show that grandiose narcissism correlates with highly positive components of mental toughness. These include confidence and a focus on achieving goals, which help protect against symptoms of depression and stress.

The association between narcissism and mental toughness may help to explain the variation in symptoms of depression in society. If a person is more mentally tough, they are likely to embrace challenges head on, rather than viewing them as a hurdle.

So while not all dimensions of narcissism are good, certain aspects can lead to positive outcomes. And a little bit of narcissism can be a useful tool when faced with stressful situations, providing that extra bit of mental toughness we need to get through.

Its a bit like having the ability to run when walking is not enough. The idea is that people need to be flexible. They need to walk when thats all that is required, but run when thats whats necessary. Likewise, the ability to call on a little bit of narcissism when faced with a challenge, socially or professionally, is a useful skill.

Recent research from our lab suggests that narcissism may act as a bridge connecting the dark (anti-social) and light (pro-social) sides of the human personality. Put simply, individuals can cross that bridge to use their dark traits when facing a challenge, and pro-social characteristics when in a safe environment.

Our work suggests that instead of perceiving human personality as a dichotomy (narcissistic versus agreeable), we should treat it as a constantly changing spectrum.

It is not about promoting grandiosity over healthy self-esteem and modesty. Instead it is about promoting diversity of people and ideas by advocating that dark traits, such as narcissism, should not be seen as either good or bad. They are products of evolution, and expressions of human nature that may be beneficial or harmful depending on the context.

This may help to reduce the marginalization of individuals that score high on dark traits, and work out how best to cultivate some manifestations of these traits, while discouraging others, for the collective good.

It is too simplistic to say that personality traits like narcissism, which help individual empowerment, are socially toxic. People are trying to adapt, survive, and succeed in a social, political, and economic environment that promotes the self-made man or woman, and if they exhibit antagonistic traits such as narcissism, they receive negative attention. Yet grandiose narcissism may be the key to protecting individuals from such needless pressure.

Nor do I think there are individuals who live without narcissism. In common with other psychological traits, it exists on a spectrum, with some individuals scoring higher than others.

Elsewhere in the natural world, a human fear and distrust of sharks has led to a widespread attitude of us versus them. After the movie Jaws was released, according to one conservationist there was a collective testosterone rush which led to thousands of anglers targeting and killing sharks off the American coast.

Shark numbers have dropped dramatically (by up to 92%) in the past half century. So just as we are starting to understand the importance of sharks for the marine ecosystem, we have run out of sharks to study.

We should not let narcissists be similarly marginalized just because we dont understand them. Instead of demonizing parts of our personality, we need to celebrate all of its aspects and work out how best to use them, for our own benefit and the benefit of society.

This article was originally published on The Conversation by Kostas Papageorgiou. Read the original article here.

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Psychologists say there are 2 types of narcissists: Which one are you? - Inverse

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November 25th, 2019 at 1:46 am

Posted in Mental Attitude

B*tch You Slow: Summer Walker And Our Dismissive Attitude Towards Black Womens Mental Health – MadameNoire

Posted: November 22, 2019 at 4:49 am


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Source: Aaron J. Thornton / Getty

As a society, we have been conditioned to have the least empathy for Black women when it comes to mental health. It is widely theorized by professionals working in the mental health space that the state of being a double minority makes Black women particularly susceptible to suffering from anxiety-related conditions. Sadly, research has shown that among Black women suffering from anxiety disorders, only 13 percent seek treatment (Neal-Barnett & Crowther, 2000). While a variety of different factors can be attributed to that low figure, without a doubt, a major prohibitive factor is the negative attitudes displayed toward us when we need help. Were either judged harshly for our condition or people straight up dont believe us. Take Summer Walker for example.

The Playing Games singer has been an open book regarding her diagnosis with social anxiety disorder. So much so that last week she announced that she would be canceling 20 dates on her Over It tour as a result of her battle with the condition.

Unfortunately Im not going to be able to finish this tour because it doesnt really coexist with my social anxiety and my introverted personality, Summer explained in a video post. I hope that people understand and respect that at the end of the day Im a person, I have feelings, I get tired, I get sad. Its just a lot. I dont want to lose myself for someone else. I want to give yall what I can, so Im going to keep making music and Im going to do a few shows, but I cant finish.

In the video caption, she went on to promise fans a full refund for canceled dates and expressed that she hoped that they would be understanding of her decision.

I truly appreciate all the support and love. As you know, I have been very open about my struggle with social anxiety. I want to continue to be healthy and to make music for yall, so I have decided to cut down some of the dates on the tour, she wrote. I hope you all can understand. Im grateful for every single one of you, and I hope that you understand that wellness/mental health is important. All canceled dates will be refunded asap. Thank you.

Unfortunately, in this country, we have issues when it comes to believing Black women, so even after Walker went as far as to cancel dates and lose out on potential earnings as a result of said condition, people decided that this was their cue to start dissecting her life and building a case against the singer in an effort to prove that she is being dishonest about having social anxiety. More often than not, their arguments centered around the flawed logic that people with social anxiety are incapable of enjoying themselves in public settings and thus any sign of Summer being playful or having a good time was used as proof that she must be lying. The outright attacks on Walker were revelatory of two sobering truths:

The most disgusting behavior took place following Sunday nights Soul Train Awards after the 23-year-old struggled through her acceptance speech for Best New Artist. A quick scroll through the singers Instagram page that night revealed a mixed bag of problematic and degrading comments ranging from She playing yall like a fiddle to You so f-cking weird and its starting to make me not like you as an artist. Some even went as far as to question how she was capable of attending an after-party with her friends if she couldnt make it through a speech. Like I said, complete trash.

Eventually, Summer decided to sound off on her critics in a separate post, essentially blaming their ignorance and vile comments for the reason that so many members of our community with mental disorders especially children go undiagnosed and untreated.

1. Bareface & beautiful

2. You know the scariest sh-t Ive been witnessing is that most of the women leaving negative comments like its an act, I dont have the right to act like this b/c Im famous, b-tch you slow or just flat out making fun of me for being vulnerable. HAVE CHILDREN, these women have children. It makes me feel soo bad cause its clear that if the children are developing or struggling with any type of mental disorder such as anxiety, depression, schizophrenia, itll be brushed to the side and will never receive any treatment because itll just be an act. These parents are probably so ignorant that instead of reading up on symptoms they just whoop the child sad, my sh-t started at 6 so yes kids have it too.

Im sure people will continue to justify their disbelief regarding Summers disorder. Today, theyll use a twerk video. Tomorrow they will use her past as an exotic dancer. Next week, it will be something else. But the Summer Walker conspiracy serves as a mirror reflection into a larger societal problem when it comes to Black women and girls and our mental health. The numbers dont lie. Just last month, we reported that the suicide rate for Black female teens is on the rise. In 2017, they were 70 percent more likely to attempt suicide than their white counterparts. We should not have to prove that were not okay. Lifestyle choices do not negate the presence of mental illness. If we say that were struggling, believe us the first time.

Follow Jazmine on Twitter @jazminedenise and visit her blog, Black Girl Mom.

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B*tch You Slow: Summer Walker And Our Dismissive Attitude Towards Black Womens Mental Health - MadameNoire

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November 22nd, 2019 at 4:49 am

Posted in Mental Attitude

North girls teams run to podium finishes – The Republic

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Two weeks after its podium finish in the Girls Cross Country State Finals, Columbus North put two more girls teams on the podium at the Nike Midwest Cross Country Regional on Saturday in Terre Haute.

The Bull Dogs finished 10th in the Girls Championship race out of 72 teams from Indiana, Illinois, Michigan and Missouri. North also was runner-up and was the top Indiana team in the Girls Freshman-Sophomore race.

Both teams ran well, North girls coach Rick Sluder said. Admittedly, we didnt continue 100 percent of our training. We were a little banged up after the state meet, but our varsity ran nearly the same times as the state meet.

Mackenzie Barnett led the varsity with a 101st-place finish in 19 minutes, 4.4 seconds for 5,000 meters (3.1 miles) at the same LaVern Gibson Championship Cross Country Course that hosted the state finals. Brianna Newell took 106th in 19:07.6, while Lily Baker was 118th (19:15.5), Olivia Morlok 120th (19:16.0), Jessica Meza 247th (20:30.7) and Kennedy Kerber 265th (20:45.1).

In the Freshman-Sophomore race, Ellen White led with way with a 15th-place finish in 20:24.5. Julie Klaus took 19th in 20:32.7, while Sydney Morlok was 30th (20:58.6) Abby Jacobi 32nd (20:59.9), Katherine Rumsey 53rd (21:30.0), Claire Wisler 66th (21:45.6), Madysin Perry 69th (21:49.6) and Megan Saeger 88th (22:21.1).

Meanwhile, the North boys finished 32nd in the Boys Championship race and 17th in the Boys Freshman-Sophomore race. The Bull Dogs competed without top runner Matt Newell.

Reese Kilbarger-Stumpff led North with a 112th-place finish in the Championship race in 16:20.5. Andy Stohr took 178th in 16:43.0, while Evan Carr was 233rd (17:02.9), Austin Pulkowski 263rd (17:21.9) and Will Kiel 293rd (17:50.6).

Sam Hobbeheydar finished 48th in the Freshman-Sophomore race in 17:38.5. Clayton Guthrie took 84th in 17:56.9, while Carter Howell was 176th (18:40.7), Charlie Smith 263rd (19:38.8), Kellen Hottell 284th (19:57.9), Ethan Lax 290th (20:01.3), Luke Chandler 355th (21:40.8) and Dylan Sluys 372nd (22:34.7).

Cougars earn All-Star status

Hannah Sabotin, who led Trinity Lutheran to the Class A Volleyball State Finals, and Hauser senior Kylie Lock have been named to the Class A/2A Indiana Senior All-Stars.

Sabotin and Lock will play for the South in the Indiana High School Volleyball Coaches Association North-South Senior All-Star Game at 3 p.m. Sunday at Lawrence North.

Trinitys Bailey Reynolds has been named an Indiana Junior All-Star. She will play for the South in the 1 p.m. Junior All-Star Game, also at Lawrence North.

Olympians make All-HHC

Seven members of the Hoosier Hills Conference champion Columbus East football team have made the All-HHC squad.

Offensive selections include senior quarterback Cole Gilley, senior wide receiver Dalton Back, junior running back Mark McDonald and senior running back/receiver Lance Greiwe. Defensive selections are senior defensive end Seth Chandler, senior defensive back Tyler Settle and junior linebacker Parker Harrison.

Junior receiver/defensive back/quarterback Malachi Parks, senior offensive lineman Jake OConnor and junior linebacker Malachi Parks are honorable mention selections.

Senior selected East MVP

Senior Zach Roberts, who helped lead Columbus East the boys soccer final four in Class 3A, has been named the teams MVP.

Sophomore Branson Young won the Olympian Award. Sophomore Korbin Hatcher won the ISCA Top Team Player Award.

Carlos Casados Mendoza was named junior varsity MVP.

Senior is North football MVP

Senior tight end/defensive end Mitchell Collier has been named MVP of the Columbus North football team. Collier also was selected as the teams top offensive lineman/tight end.

Junior Blake Huffman was named the top offensive back/receiver, senior Montez Mitchell was picked as the top defensive lineman and senior Landon Robbins was chosen as the top linebacker/defensive back. Senior Hunter Huser won the Bull Dog Award, senior Luke McDonald took the Tom Orr Award and senior Daveed Jolley won the John R. Skobel Memorial Scholarship.

Collier, Huser, Robbins and senior Jackson Payne were recognized as team captains.

Junior Luke Bless won the JV Bull Dog Award, and Will Davis captured the Freshman Bull Dog Award. Tyler Blythe won the Freshman Team Scholar-Athlete Award.

North selects top runners

Sophomore Matt Newell has been named MVP of the Columbus North boys cross-country team, and junior Mackenzie Barnett and freshman Brianna Newell are co-MVPs of the North girls cross-country squad.

Junior Austin Pulkowski and senior Olivia Morlok won the boys and girls Bull Dog Awards. Junior Andy Stohr was named Most Improved for the boys.

Senior Carson Littrell, junior Jackson Davis and sophomores Evan Carr and Reese Kilbarger-Stumpff were recognized as boys team captains. Seniors Morlok, Kate Falkner, Kennedy Kerber and Karla Perez were cited as girls team captains.

Senior picked as North MVP

Senior Gabby Genth has been selected MVP of the Columbus North volleyball team.

Sophomore Sarah Bennett won the Bull Dog Award, junior Madison White was named Most Improved and senior Lauren Opalka won the Perseverance Award. Juniors Emma Derringer and Kathryn Rayburn shared the Jolie Crider Award for Upperclassmen Mental Attitude.

Sophomore Grace Chapman was named JV MVP. Sophomore Nya Davis won the JV Most Improved Award, and freshman Emma Burns won the Casey Cooley Award for Underclassmen Mental Attitude.

Sophomore named Jets MVP

Sophomore Caleb Walker has been named MVP of the Hauser boys soccer team.

Franco Avilla was recognized as the High Scorer, Diego Vazquez was honored for Most Assists andCaitono Fracasso and Ben Essex shared the Best Defender Award. Cody Vincent was named Most Improved and Emily Harler won the Mental Attitude Award.

Boys set for hoops scrimmages

Most of the areas boys basketball teams will compete in preseason scrimmages today and Saturday.

Columbus North will visit Bedford North Lawrence at 6 p.m. today. Also today, Brown County visits Monrovia at 6 p.m., and Edinburgh hosts Jac-Cen-Del at 6:30 p.m.

Columbus East will host Roncalli at noon Saturday, and Hauser will host Central Christian Academy at 2 p.m. Saturday. Also Saturday, Jennings County hosts Brownstown Central at 5 p.m., and Trinity Lutheran will host Southwestern (Hanover) at 6 p.m.

Crusaders game rescheduled

Columbus Christians home girls basketball game against Medora that was postponed on Saturday has been rescheduled for 6 p.m. Dec. 20.

Ted Schultz is sports editor for The Republic. He can be reached at tschultz@therepublic.com or 812-379-5628.

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North girls teams run to podium finishes - The Republic

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November 22nd, 2019 at 4:49 am

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Owl football caps another great year – Seymour Tribune

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The Seymour football coaching staff say Brendan Smith and Ethan Corwin were key members of the Seymour football team this season.

Smith was named Seymours most valuable offensive player and Corwin received MVP honors for the defense during the Seymour football awards program attended by 335 persons Wednesday night at the Pines Evergreen Room.

Smith quarterbacked the Owls for most of the season and saw some action at running back. He completed 54 of 121 passes for 940 yards and 10 touchdowns. Smith rushed 114 times for 558 yards and seven touchdowns.

He accepted me right away and I enjoyed every minute I worked with him, offensive coordinator Jeff Richey said.

Heading into his third season at the helm, head coach Mike Kelly said he knew he was going to get a lot of effort and leadership from his quarterback.

He is pretty quiet, he doesnt say much," Kelly said. "I appreciated his effort and his leadership.

Defensive coordinator Brian Balsmeyer, in presenting Corwin his award said, He was a team captain and a hard worker and took over the defense as a leader.

Kelly remarked at how much Corwin changed himself for the betterment of the team.

As a junior we didnt think he was going to get on the football field," Kelly said. "He changed positions and made a big improvement. He loves football and is a student of the game.

This fall Corwin had 37 tackles, 64 assists, one interception and he recovered three fumbles.

Cameron Barr received the mental attitude award.

In many sports you get knocked down," assistant coach Jeff Klakamp said. "Cameron would fight even harder after getting knocked down. He will be successful in life in whatever he does.

Jake Roberts was named the most valuable lineman.

He is the most confident player Ive ever met, assistant coach Steven Wolfsberger said in presenting his award.

Jacob Rotert was named the most improved defensive player, Jalen Scales was announced as the most improved defensive player and Caleb Elliott was named the most valuable special teams player.

Klakamp introduced the freshman team and said that squad had a record of 6-2. Assistant coach Zach Ruble introduced the junior varsity players.

As we go through the season we have goals," Kelly said. "We want to win the first game, stay undefeated at home, win the Jackson Bowl, win the conference and advance in the tournament. Those goals are never going to change.

The Owls reached the first goal, and started the season 4-0, but lost their final six, including the first round of sectional at Franklin. The Owls lost each of their final five regular season games by seven points or less.

We were a whole lot more competitive this year than in recent years," Kelly said. "The seniors bought into the program.

We put in a new offense and a new defense and were progressing to the next level. We learned a whole lot about our strengths and weaknesses and were continuing to buy in to have success.

His message to the returning players was: Invest in the little things. Be the best you can be.

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Owl football caps another great year - Seymour Tribune

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November 22nd, 2019 at 4:49 am

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Mental health care isnt one-and-done like any journey, you have to commit – Task & Purpose

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Editor's Note: The following is an op-ed. The opinions expressed are those of the author, and do not necessarily reflect the views of Task & Purpose.

The "suck it up and drive on" mentality permeated our years in the U.S. military and often led us to delay getting both physical and mental health care. As veterans, we now understand that engaging in effective care enables us not just to survive but to thrive. Crucially, the path to mental wellness, like any serious journey, isn't accomplished in a day and just because you need additional or recurring mental health care doesn't mean your initial treatment failed.

This may seem self-evident to some, yet we have heard veterans and advocates both imply and directly state their belief that, if a veteran goes back for additional mental health care, it means the initial intervention was a failure. This belief is self-defeating and potentially dangerous if it discourages anyone struggling with mental health challenges from seeking initial or follow-up care. While there has been a continued increase in the number of veterans seeking care in the immediate year following departure from active duty, numbers seeking follow-on or additional treatment remain low.

Stigmatizing follow-on care does a disservice to anyone struggling with mental health challenges; mental health care, like physical health care, must be comprehensive and continuous. The one -and-done attitude about mental health care is absurd. This becomes blatantly evident when compared to attitudes about physical health.

Some injuries predispose you to related but not identical problems in the future. Those who have had acute joint injuries are often warned that they are at increased risk of developing arthritis as they age. Shingles develops only years after recovery from chicken pox. Similarly, some Vietnam veterans only developed PTSD symptoms when the Iraq War kicked off. Some Iraq veterans show violent tendencies once marital strife occurs despite successful treatment for initial PTSD symptoms. It doesn't mean the initial treatment failed; rather, it suggests those at risk should pay attention to early warning signs and engage in the appropriate follow on care.

Certain conditions are chronic. In some cases, physical or mental health conditions may require lifelong medication and careful monitoring. Insulin for Type 1 diabetes or mood stabilizers for bipolar disorder may be required for a lifetime. Individuals who have suffered a traumatic brain injury (TBI) are of particular risk, as the manifestations of mental health issues change over time, and there are complex risks of additional physical conditions as well.

Other issues are chronic but episodic for some patients. Eczema may flare up in drier winter months just as depression may recur in that darker season. Having a physical or mental health condition wax and wane increases the need for tailored treatment, and both proactive and follow-on care.

Compensating for one injury can cause another. "Favoring" a sore knee by limping can throw your body out of alignment and end up causing pain or injury to the other leg. Similarly, some of the ways we try to compensate for mental pain, like numbing with alcohol, can end up developing into independent disorders that need separate and additional treatment.

One injury may bring another problem to light. Bone cancer is sometimes identified on x-rays for broken bones and it must be treated separately from casting the fracture that drove the initial care. Similarly, therapy for combat-related post-traumatic stress disorder may unearth childhood trauma or other mental health conditions not directly related to the immediate stressor and require their own care.

Different conditions also can be totally unrelated. If someone develops strep throat, takes a course of antibiotics that successfully treats it, and gets an ear infection five years later, it's unlikely they would assume the first doctor did something wrong. A course of therapy for one mental health condition cannot be expected to ward off all future problems.

There may be a genetic component. Both physical and mental health conditions can be influenced by a complex interplay of genetic and environmental causes. Stay attuned to family history, avoid environmental exposures that may increase risk if possible, and seek early intervention if warning signs are seen.

Particularly for military veterans who once operated in an environment that prized physical and mental toughness, admitting to the need for any sort of care can be difficult. It's important that everyone understand that it is not a sign of failure or weakness to seek follow up care down the road.

A new round of physical therapy and anti-inflammatory medication may be required as knees battered by ruck marches are further worn down by the ravages of age; no one blinks an eye at this to-be-expected development. The same approach should be taken when the changing stresses of life require new approaches to mental wellness.

Kayla Williams is Director of the Military, Veterans, and Society Program at the Center for a New American Security. She previously served as Director of the Center for Women Veterans at VA, where she focused on policies, programs, and legislation affecting women veterans. She was enlisted for five years and wrote the memoirs Love My Rifle More Than You: Young and Female in the U.S. Army and Plenty of Time When We Get Home: Love and Recovery in the Aftermath of War.

Kyleanne Hunter, PhD is an adjunct professor at Georgetown University's Center for Security Studies, and the Vice President, Programs at Brady. She is a Marine Corps combat veteran, with 10 years as an AH-1W SuperCobra pilot and 3 years as the Legislative Liaison Officer to the House of Representatives. She is the co-editor of Invisible Veterans: What Happens when Military Women become Civilians Again.

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Mental health care isnt one-and-done like any journey, you have to commit - Task & Purpose

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November 22nd, 2019 at 4:49 am

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